Individual provider Active NPI

Judy M Iturmendi, PHD

  • Psychologist
  • Decatur, GA
National Provider Identifier
1992036644
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY003166 Issued in GA
Practice address
315 West Ponce de Leon Avenue
Suite 350
Decatur, GA 30030-2490
Phone
(404) 373-2220
Fax
(404) 373-9337
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY003166 GA Primary

Addresses

Primary practice location

315 West Ponce de Leon Avenue
Suite 350
Decatur, GA 30030-2490

Mailing address

315 West Ponce de Leon Avenue
Suite 350
Decatur, GA 30030-2490
Phone (404) 373-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY003166GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Littlejohn Consulting & Psychological Services, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1992036644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WEST PONCE DE LEON AVENUE",
            "address_2": "SUITE 350",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302490",
            "telephone_number": "404-373-2220",
            "fax_number": "404-373-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WEST PONCE DE LEON AVENUE",
            "address_2": "SUITE 350",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302490",
            "telephone_number": "404-373-2220",
            "fax_number": "404-373-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITURMENDI",
        "first_name": "JUDY",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.